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Organization

BACK CENTER OF CHICAGO

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. ROBERT J WALSH MD (OWNER/MD)
(312) 867-7090
Entity
Organization

Contact information

Practice address
1731 N MARCEY ST, SUITE 530, CHICAGO, IL 60614-5373
(312) 867-7090
(312) 867-7081
Mailing address
1731 N MARCEY ST, SUITE 530, CHICAGO, IL 60614-5373
(312) 867-7090
(312) 867-7081

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
36-037992
IL

Other

Enumeration date
07/30/2006
Last updated
07/02/2008
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